The Rojas Report

The Rojas Report

No One’s Coming. So We Are.

How We Stay Independent, Get Paid, and Build Real Power

Dutch Rojas's avatar
Dutch Rojas
May 22, 2025
∙ Paid

This is for the physicians I know.

The ones still in the fight.

The ones tired of being last to get paid, if at all.

The ones watching overhead balloon while their autonomy disappears.

Let’s skip the sugarcoating:

No one is coming to save us. So we’re saving each other.

We’re building Physician-Owned MSOs (POMSOs) across the country—structures that let us work together without giving up independence or autonomy.

We’re not waiting for permission.

2025: 2,500 physicians.

2026: 10,000.

2027: 25,000+.

Every one of them is done playing nice.


Why POMSO?

Being part of a health system or a private equity group means you’re an asset on someone else’s spreadsheet.

This is different.

POMSOs are owned by you.

We organize by state and/or specialty.

We unify around:

✅ Reducing unnecessary expenses.

✅ Generate revenue growth.

✅ Establish and build a robust balance sheet to maximize enterprise value.

We don’t tell you how to practice medicine.

We help you practice profitably—at scale.


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